scholarly journals A simple method for immobilising the upper limb following groin or abdominal flaps for soft tissue defects in the hand

2004 ◽  
Vol 37 (02) ◽  
pp. 129-130 ◽  
Author(s):  
Jagannath B. Kamath ◽  
Chitta Ranjan Sahu ◽  
Thangam Verghese Joshua

ABSTRACTAbdominal and groin flaps are the main workhorse for soft tissue defects in hand injuries. A simple and easy method is being described for immobilising the upper limb following abdominal and groin flaps for soft tissue defects of the hand using commonly available clavicular braces. This is devoid of all the problems of immobilisation using the common methods such as adhesive plasters and pin fixators and has its own advantages.

Author(s):  
Elena Lucattelli ◽  
Irene Laura Lusetti ◽  
Federico Cipriani ◽  
Alessandro Innocenti ◽  
Giorgio De Santis ◽  
...  

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Moustafa Ahmed AbdelAliem ◽  
Mina Agaiby Estawrow ◽  
Shaaban Mohamed Abd Almajeed ◽  
Abdelrahman Mohamed El-maraghy

Abstract Background Hand injuries contribute to financial losses in terms of treatment, time off work and loss of job. Hand injuries are rising and therefore increasing awareness and improving management of hand injuries are warranted in low resources settings. Objective A systematic review and meta-analysis of different modalities of management of early and late traumatic soft tissue defects of the hand. Data Sources Medline databases (PubMed, Medscape, ScienceDirect. EMF-Portal) and all materials available in the Internet till 2018. Data Extraction If the studies did not fulfill the inclusion criteria, they were excluded. Study quality assessment included whether ethical approval was gained, eligibility criteria specified, appropriate controls, and adequate information and defined assessment measures. Conclusion Soft tissue defects of the hand can be reconstructed effectively with multiple options that can restore function in addition to stable coverage. The use of grafts with several local and regional flaps have been identified including advancement flaps, rotation flaps in cases where local tissue is available and healthy. Which have the ability to match colour and texture of the recipient site, coverage of vital structures with minimal donor site morbidity. The preferred approach is the simplest method which can provide the most stable coverage. A careful selection of flap choice for coverage of a hand defects should take into account the anatomy and functional requirements of the defect site, the patient’s health condition and the surgeons experience to ensure good functional and aesthetic outcomes for the patients.


2009 ◽  
Vol 81 (11) ◽  
Author(s):  
Adam Domanasiewicz ◽  
Leszek Kaczmarzyk ◽  
Maciej Paruzel ◽  
Jerzy Jabłecki

2011 ◽  
Vol 127 (1) ◽  
pp. 293-302 ◽  
Author(s):  
Chun-Yang Wang ◽  
Yi-Min Chai ◽  
Gen Wen ◽  
Pei-Hua Cai ◽  
Lu-Yuan Sun ◽  
...  

1987 ◽  
Vol 12 (2) ◽  
pp. 189-193
Author(s):  
A. ZBRODOWSKI ◽  
F. M. MARTY ◽  
R. GÜMENER ◽  
D. MONTANDON

Vascularization of the subcutaneous tissue of the upper extremity is described. Injection of coloured latex or India ink and gelatine solution showed the principal sources of the blood supply. Microdissection and transclarification of Spalteholz allowed for the study of the direct and indirect arterial branches which form the principal network of the subcutaneous tissue. The findings are of practical importance since the subcutaneous tissue can be used as a separate flap for covering soft tissue defects of the forearm and hand.


2003 ◽  
Vol 28 (3) ◽  
pp. 205-214 ◽  
Author(s):  
A. J. M. LUIJSTERBURG ◽  
G. J. SONNEVELD ◽  
CHR. VERMEIJ-KEERS ◽  
S. E. R. HOVIUS

Consistent classification of congenital differences of the upper limb is of paramount importance for the study of the pathogenesis. To overcome the inconsistencies of present classifications, a non-classifying recording method has been developed. This method records individual aberrations, including bone and soft-tissue defects. Between 1996 and 1998, a prospective study was performed to validate the method. Two hundred and thirty-one patients with upper limb differences were assessed, and all individual aberrations were recorded. These data can be transferred to any classification. It is concluded that the presented method will allow consistent grouping of patients without losing details about simple and complex differences.


2016 ◽  
Vol 11 (4) ◽  
Author(s):  
Saeed Ashraf Cheema

A total of 48 cases of soft tissue defects of upper limb were managed during one calendar year. This included 34 males and 14 females. Post burn complication was the most common etiology. Ten cases had machine injury while other 6 cases had household trauma. Another group of six cases had injuries during fireworks at various ceremonies. Whereas 17 cases were dealt by simple measures like healing by secondary intension, primary closure and skin grafting, 31 cases needed soft tissue coverage with various flaps. Only ten cases were dealt with the help of local flaps while rest of the 21 cases needed various regional and distant flaps.


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